Can you explain why we will almost certainly have the second highest number of measles cases in one year since 1994, even though we see the devastation that high rates of measles is causing in Europe and other parts of the world?
How many people will get measles in the United States this year?
Although no one is reporting on this, with several large ongoing outbreaks still not under control – it will be another record year for measles in the United States.
“Before a vaccine became available in 1963, measles was a rite of passage among American children. A red rash would spread over their bodies. They would develop a high fever. Severe cases could cause blindness or brain damage, or even death.”
CDC says measles almost eliminated in U.S.
Instead, most people develop 10 days of measles symptoms, including a high fever, cough, runny nose, watery eyes, and a rash. Photophobia, irritability, sore throat, headache, and abdominal pain are other symptoms that children with measles might have.
“From 1964 through 1971, 16.7% of the death certificates reviewed noted some underlying pathologic condition.”
Roger Barkin, MD on Measles mortality. Analysis of the primary cause of death.
It is most often children, typically young children, without any medical problems who die.
In the post-vaccination era, no one would be expected to die with measles, but those with immune system problems sometimes do, as most others are vaccinated and protected. As vaccinated rates drop though, even otherwise healthy children and adults can once again die of measles.
“Complications were reported in 672 (9.8%) cases, including otitis media in 318 (4.6%) cases, pneumonia in 178 (2.6%), diarrhea in 171 (2.5%), and encephalitis in five (0.1%). Nine hundred thirteen patients (13.3%) were hospitalized, and 10 measles-associated fatalities were reported (case-fatality rate: 1.5 deaths per 1000 reported cases). Eight of the deaths were reported in children less than 5 years of age, all of whom were unvaccinated. None had a reported underlying illness or immunodeficiency. Most deaths have been attributed to pneumonia.”
Measles — United States, First 26 Weeks, 1989
Probably not, but from 1989 to 1991 there were at least 123 measles deaths across the United States, even after measles had been declining for years with the introduction of the measles vaccine in the 1960s. Most of the deaths were otherwise healthy, without underlying medical problems.
Because we don’t typically hear any details about measles deaths, including the almost 90,000 measles deaths that continue to occur around the world each year, most people likely assume that measles only kills in third world countries, where kids are already sick or malnourished. Of course, that wouldn’t explain how over one hundred people died with measles in Europe over the past few years…
Still think that measles isn’t deadly?
Tragically, there are plenty of stories (although most are never reported in the news and we don’t hear about them) and case reports that will prove you wrong:
Olivia Dahl died with measles when she was 7-years-old (1962)
an unvaccinated 3-year-old died in Maricopa County (1970)
a 13-year-old girl who had previously been vaccinated with one of the first inactivated measles vaccines which were found to be ineffective and were replaced with the newer live vaccines died in Michigan (1978)
a 9-month-old died in Chicago (1990)
an unvaccinated 13-year-old died in Kansas (1990)
Tammy Bowman, an 11-year-old unvaccinated girl died in Michigan (1990)
an unvaccinated 13-year-old became the first person in the UK to die with measles in 14 years (2006)
a 14-year-old died of Subacute Sclerosing Panencephalitis (SSPE), a late complication of a natural measles infection (2015)
a 16-year-old who had received a heart transplant when she was 2-years-old died in France (2018)
an unvaccinated toddler in Jerusalem (2018)
Measles as a rite of passage?
“We baby boomers were apparently the last generation whose doctors, and therefore parents, accepted the measles as just one more annoying rite of passage of childhood that also happened to prime the immune system and provide lifelong immunity. Medical texts prior to the advent of the vaccine described measles as a benign, selflimiting (sic) childhood infectious disease that posed little risk to the average well-nourished child.”
Darrerl Crain, DC on The Great Measles Misunderstanding
While early pediatric textbooks did a great job describing the symptoms of measles, they also did a great job of documenting that measles was never a benign disease, something anti-vaccine folks still misunderstand because vaccines can do such a good job controlling the disease.
Do benign, self-limiting childhood infections diseases kill hundreds of children every year?
Measles as a rite of passage is something we don’t want to have to go back to. It was a rite of passage that was endured because there was no other choice.
That measles reduces your risk of cancer is probably one that you haven’t heard.
Neither are you likely to have heard of the conspiracy theory that Big Pharma wants you to get vaccinated and protected so that you don’t get measles, just so you are at increased risk of cancer later.
Does Having Measles Protect You from Cancer?
The idea of a viral infection protecting you from cancer doesn’t make much sense, after all, many viral infections actually cause cancer.
That’s why we have vaccines to protect us against hepatitis B and HPV infections! So much for the idea that Big Pharma wants you to get cancer. If they did, then why did they develop vaccines that prevent cancer?
Kind of. She has a study, “Febrile infectious childhood diseases in the history of cancer patients and matched control,” that was published 20 years ago in the journal Medical Hypothesis. A study that consisted of a questionnaire that was sent to cancer patients who were seen by anthroposophic general practitioners in Switzerland.
Anthroposophic general practitioners? Think Rudolf Steiner and Waldorf Schools.
That’s a risk that you might be unfamiliar with, but it is the increasing popular theory that a natural measles infection resets your immune system to that of a newborn, so that you are once again susceptible to many infectious diseases. That’s likely why mortality rates from other diseases besides measles goes down when folks start to get vaccinated against measles.
Measles and Cancer Risks
What about the association of measles and cancer?
Unlike the idea that a natural measles infection might be protective against cancer, there are more than a few studies that actually associate measles with a risk of developing cancer, including:
Are these associations real?
Probably not, after all, why don’t rates of these cancers go way down after measles gets under control or eliminated?
And we understand the most dangerous association between measles and cancer that affects the most people – when unvaccinated people get measles and expose children and adults on chemotherapy who are immunosuppressed and can’t be vaccinated.
Anti-vaccine folks rarely talk about the complications of vaccine-preventable diseases. For that matter, they also often push the idea that vaccines don’t even work and that these diseases aren’t even vaccine preventable, don’t they?
Anti-vaccine folks often claim that health officials only worry about measles and measles outbreaks.
They can’t understand why anyone gets concerned by a few measles cases here and there, not understanding that a lot of work goes into containing measles outbreaks and making sure that they don’t grow beyond a few cases.
We do get concerned about measles outbreaks though.
“Whenever measles strikes, it’s more than just an outbreak of a single disease, or an indication that children aren’t receiving their measles shots; it’s also a warning that immunization coverage in general, for all vaccine-preventable diseases, is lower than it should be.
To put it another way: When rates of routine vaccination—children receiving all their shots on schedule, as a preventive measure rather than a reaction to an outbreak—start to fall, the first sign is usually a measles outbreak.”
Seth Berkley on Measles Outbreaks Are a Sign of Bigger Problems
The measles vaccine is among the most effective vaccines we have, so if we are seeing outbreaks, even though measles is very contagious, it means there is a problem.
“A focus on measles surveillance can help detect populations unreached by immunization systems and, by extension, program weaknesses. Measles serves as the ‘canary in the coal mine’ for detecting problems with immunization programs, a characteristic whose importance has recently been highlighted in the context of global health security.”
Orenstein et al on Measles and Rubella Global Strategic Plan 2012–2020 midterm review
As much as anti-vaccine folks like to try and minimize how serious measles can be, it is easy to see that measles is indeed a serious, life-threatening disease. We had good nutrition, proper sanitation, and modern health care in 1990, and still, a lot of people died with measles. Rates of subacute sclerosing panencephalitis (SSPE), a late complication of measles, went up too, in the years after these outbreaks.
“Measles is a wholly preventable disease, and it was almost eradicated from the country in 1983, when only 1,497 cases were reported. But by 1990, after Federal budget cuts and the end of the Government’s monitoring of immunization programs, more than 30,000 cases of measles and more than 60 deaths were reported.”
Panel Ties Measles Epidemic to Breakdown in Health System
Those outbreaks were fixed, as we improved access to help kids get vaccinated and protected. Unfortunately, the issue with outbreaks today isn’t about access to vaccines, at least not in the developed world. It is about parents intentionally skipping or delaying vaccines.
How many measles deaths have there been in the United States in the past ten years? Dr. Bob Sears frequently says that there have been none. It is easy to see that Dr. Bob is wrong, not even counting the latest death in 2015.
Measles Deaths in the United States
Measles deaths are thought to occur in about 1 in every 500 to 1,000 reported cases. This is not just in developing countries or in people with chronic medical conditions.
More recently, measles cases and measles deaths in the United States include:
2000 – 86 cases – 1 measles death (infant) – endemic spread of measles eliminated in U.S.
2001 – 116 cases – 1 measles death
2002 – 44 cases
2003 – 55 cases – 1 measles death (1 year old)
2004 – 37 cases – record low number of measles cases
2005 – 66 cases – 1 measles death (1 year old)
2006 – 55 cases
2007 – 43 cases
2008 – 140 cases
2009 – 71 cases – 2 measles deaths
2010 – 63 cases – 2 measles deaths
2011 – 220 cases
2012 – 55 cases – 2 measles deaths
2013 – 187 cases (large outbreak in New York City – 58 cases)
2014 – 667 cases (the worst year for measles since 1994, including the largest single outbreak since the endemic spread of measles was eliminated – 377 cases in Ohio)
2015 – 188 cases – got off to a strong start with a big outbreak in California – 1 measles death
2016 – 86 cases
2017 – 118 cases
So that’s 11 measles deaths since 2000 and at least 8 measles deaths since 2005.
The last death, a woman in Clallam County in Washington, was exposed in an outbreak of mostly unvaccinated people in 2015.
Why do people say that there have been no measles deaths in the United States in the past 10 years? Whether they are misinformed or intentionally trying to misinform people, they are wrong.
The Last Verifiable Measles Death in the United States
The CDC is actually contributing a bit to the confusion over measles deaths, in that when asked, they have historically said that “the last verifiable death in the United States from acute measles infection occurred in 2003 when there were 2 reported deaths.”
They explain the discrepancy between that statement and other CDC reports, like the recently published “Summary of Notifiable Diseases — United States, 2012,” which clearly documents measles deaths in 2005, 2009, and 2010, by saying that those reports are based on “statistical information about deaths in the United States.”
But that statistical information comes from death certificates that are sent in from all over the United States to the National Vital Statistics System. The system isn’t like VAERS, where just anyone can send in a report. You don’t necessarily have to be a doctor to sign and file a death certificate though either, which is why the CDC is probably hung up on saying that the last verifiable measles deaths were in 2003.
To be more precise when talking about measles deaths in the United States, since it doesn’t seem like the CDC has verified each and every measles death after 2003, it is likely best to say that death certificates have been filed in 2005, 2009 (2), 2010 (2), and 2012 (2) that listed measles as a cause of death code.
Of course, that still means that there have been measles deaths in the United States since 2003, especially now that the CDC actually states that “the last measles death in the United States occurred in 2015.”
About 6 to 8 years after having measles, children with SSPE develop progressive neurological symptoms, including memory loss, behavior changes, uncontrollable movements, and even seizures. As symptoms progress, they may become blind, develop stiff muscles, become unable to walk, and eventually deteriorate to a persistent vegetative state.
Children with SSPE usually die within 1 to 3 years of first developing symptoms, including in the United States:
2000 – 5 SSPE deaths
2001 – 2 SSPE deaths
2002 – 5 SSPE deaths
2003 – 0
2004 – 1 SSPE death
2005 – 2 SSPE deaths
2006 – 3 SSPE deaths
2007 – 3 SSPE deaths
2008 – 3 SSPE deaths
2009 – 2 SSPE deaths
2010 – 0
2011 – 4 SSPE deaths
2012 – 1 SSPE death
2013 – 1 SSPE death
2014 – 0
2015 – 1 SSPE death
2016 – 0
2017 – 0
That’s 33 SSPE deaths since 2000 and at least 20 SSPE deaths since 2005. Why so many? Many of them can likely be attributed to the large number of cases associated with measles outbreaks from 1989 to 1991.
Fortunately, as the number of measles cases has been dropping in the post-vaccine era, so have the number of SSPE deaths.
The National Registry for SSPE, reported that there were at least 453 cases between 1960 and 1976. There were 225 deaths from SSPE between 1979 and 1998. The registry wasn’t established until 1969 though, and it is now becoming clear that the risk of developing SSPE is much higher than once thought.
A recent study of measles in Germany has found that the risk of developing SSPE is about 1 in 1,700 to 1 in 3,300 cases of measles.
Other Myths About Measles Deaths
One of the classic measles myths we hear is that measles was disappearing even before the measles vaccine was developed. It is true that measles deaths had been dropping since the turn of the century.
The measles death rate (deaths per 100,000 people) in the United States was:
1900 – 13.3 (about 7000 deaths)
1910 – 12.4
1920 – 8.8
1930 – 3.2
1935 – 3.1
1940 – 0.5
1945 – 0.2
1950 – 0.3 (468 deaths)
1955 – 0.2 (345 deaths)
1960 – 0.2 (380 deaths)
1963 – first measles vaccine licensed
1965 – 0.1 (276 deaths)
1970 – 0.0 (89 deaths)
1975 – 0.0 (20 deaths)
1980 – 0.0 (11 deaths)
1985 – 0.0 (4 deaths)
That’s not surprising though. The general death rate had dropped from 17.8 in 1900 to 7.6 in 1960. For infants under age 12 months, the death rate dropped from 162.4 in 1933 to 27 in 1960.
This simply reflects that vaccines were not the only medical technology that helped to save lives in the 20th century and not that measles was already disappearing. Penicillin, insulin, vitamin D, blood typing (allows transfusions of blood that has been typed and cross-matched), dialysis machines, and mechanical ventilators were all discovered in the early 1900s.
If you notice though, the death rate for measles got stuck after the 1940s at about 0.2 to 0.3, even as modern medicine continued to advance. That’s about 300 to 500 measles deaths each year in the United States. This was after World War II and through the 1950s and early 1960s, hardly a time of poor hygiene or poor nutrition or when Americans were without access to medical care.
It took about 20 years for those deaths to start dropping again, and it took the coming of the measles vaccine to do it.
So if we stop vaccinating, we won’t get to 7,000 measles deaths a year again in the United States. Modern medicine has improved a great deal since 1900. We would eventually get to about 320 to 960 measles deaths a year though (using our current population of 320 million people and a measles death rate between 0.1 and 0.3).
Other Facts About Measles Deaths
People still die of measles.
What else do you need to know about measles deaths?
SSPE is caused by wild type measles. Vaccine strain measles has never been found in the brain tissue of anyone who has ever died of SSPE.
Although SSPE was first described by Dr. James R. Dawson, JR as a new type of epidemic encephalitis in 1933 (Dawson’s disease), that it is a late complication of a natural measles infection wasn’t discovered until much later.
People have recently died of measles in other industrial countries too. Basically anywhere there have been measles outbreaks, there have been measles deaths, including Canada, Japan, Germany, the Netherlands, the UK, and France, etc.
Worldwide, about 400 people die each and every day from measles.
Sure, there are the folks who think that all vaccine preventable diseases are so mild that they wouldn’t kill you unless you lived in a Third World country.
The Myth That Measles Isn’t Deadly
But there are also folks, usually the same folks, who think that the measles virus doesn’t actually kill you – it is instead the complications that are deadly.
For most people, that’s a distinction without a difference.
“The acute pathological effects of measles include the destruction of respiratory epithelium and depression of cellular immunity. These effects interact to transiently increase measles-infected hosts’ susceptibility to respiratory bacterial strains to which they are not immune.”
Measles epidemics of variable lethality in the early 20th century.
After all, if you have measles and die, you probably don’t care if you died because of:
a secondary bacterial pneumonia
acute respiratory distress syndrome (ARDS)
acute measles encephalitis (swelling of the brain)
Subacute sclerosing panencephalitis (SSPE) – a late complication of natural measles infections
In the pre-vaccine era, before the early 1960s, about 400 to 500 people would die each year from measles and these complications.
But didn’t they all have underlying medical problems – another measles myth?
No they didn’t. One study of measles deaths in the 1960s found that only about 17% of the people who died with measles as the cause of death had an underlying disease.
And we now know that having a natural measles infection lowers your immunity and puts you at risk of dying from something else, even after you have recovered from your measles infection. That’s why mortality rates go down so much more than expected after measles vaccine programs are introduced in an area.
Measles Is Still Not Marvelous
While it is true that people rarely die of measles in the United States and other developed countries anymore, that’s just because most people are vaccinated and really big outbreaks aren’t that common, especially since the endemic spread of measles was eliminated in 2000.
You don’t have to go back to the pre-vaccine era to remember how measles kills though.
Measles is still deadly, even in this era of modern medicine, good nutrition, and clean water. Not that people in the United States didn’t eat well and have access to indoor plumbing in the 1950s, but medical care has improved.
People can still die when they get measles though.
Consider that at least 123 people died in the United States during the large measles epidemics from 1989 to 1991. Another 11,000 were hospitalized, among only about 55,000 cases.
a pregnant woman with measles was hospitalized and had a miscarriage (2013 measles outbreak in Brooklyn)
an immunocompromised woman died of pneumonia due to measles (2015 measles outbreak in Clallam County, Washington)
There have been other measles deaths and complications of these preventable infections.
Although before the Clallam County death, the CDC would say that “the last verifiable death in the United States from acute measles infection occurred in 2003 when there were 2 reported deaths,” death certificates had been filed in 2005, 2009 (2), 2010 (2), and 2012 (2) which listed measles as a cause of death code. These measles deaths are listed in the CDC “Summary of Notifiable Diseases — United States, 2012,” and in the CDC Wonder Compressed Mortality Files Underlying Cause-of-Death database.
Again, that there aren’t more simply reflects that most people are vaccinated.
But when we start seeing more and more cases of measles, more and more people will start to die. Just look at the outbreaks in Europe right now…
We also shouldn’t forget that worldwide, even after a 79% drop in measles deaths just since 2000, there were still 134,200 measles deaths in 2015, about 367 deaths a day.
What To Know About The Myth That Measles Isn’t Deadly
Not only are measles infections deadly, usually from pneumonia and encephalitis, but a natural measles infection can also cause years of immunosuppression, increasing your risk of death from other diseases too.